Expert consensus on surgical treatment for adolescent idiopathic scoliosis in Japan |
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| Institution: | 1. Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan;2. Department of Orthopaedic Surgery, University of Yamanashi, Yamanashi, Japan;3. Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan;4. Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan;5. Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan;6. Department of Orthopedic Surgery, Kitasato University School of Medicine, Kanagawa, Japan;7. Department of Orthopaedic Surgery, Hokkaido University Hospital, Hokkaido, Japan;8. Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan;9. Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan;10. Department of Orthopedic Surgery, National Hospital Organization, Hokkaido Medical Center, Hokkaido, Japan;11. Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan;12. International Affairs Committee of the Japanese Scoliosis Society, Chiba, Japan;1. Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China;2. Department of Orthopaedic Surgery, Hebei Chest Hospital, No. 372 Shengli Road, Shijiazhuang, 050051, Hebei, China;3. Department of Orthopaedic Surgery, Shijiazhuang No. 1 Hospital, NO.36 Fanxi Road, Shijiazhuang, 050011, Hebei, China;1. Department of Orthopaedic Surgery, The Jikei University School of Medicine Kashiwa Hospital, Kashiwashita 163-1, Kashiwa, Chiba, 2778567, Japan;2. Department of Orthopaedic Surgery, The Jikei University School of Medicine, Nishishimbashi 3-19-18, Minatoku, Tokyo, 1058471, Japan;1. Department of Orthopedic Oncology, Changzheng Hospital, Navy Medical University, Fengyang Rd 415#, Huangpu District, Shanghai, China;2. Department of Spine Surgery, Qingdao Central Hospital, Siliunan Rd 127#, Shibei District, Qingdao, Shandong Province, China;1. Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan;2. Rehabilitation Center, Shinshu University Hospital, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan;3. Department of Orthopaedic Surgery, New Life Hospital, 851 Obuse, Kamitakai-gun, Nagano 381-0295, Japan;1. Gaston Berger University of Saint Louis, Senegal;2. Orthopedics and Trauma Surgery Department of Grand-Yoff General Hospital, Cheikh Anta Diop University of Dakar, Senegal |
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| Abstract: | BackgroundSurgical treatment for adolescent idiopathic scoliosis (AIS) has changed significantly with the advent of new medical devices and surgical procedures. Today, pre- and postoperative management differs widely between institutions. The purpose of this study is to establish consensus regarding the surgical management of AIS in Japan through the use of a questionnaire survey of experienced spine deformity surgeons.MethodsFrom February to March 2020, experienced spine deformity surgeons who perform more than 25 cases of AIS surgery annually were asked to respond to a questionnaire request regarding AIS surgical management formulated by the International Affairs Committee of the Japanese Scoliosis Society. For each of the questions, consensus was achieved upon a 70% agreement among respondents.ResultsResponses were received from 25 of the 32 (78%) experienced spine deformity surgeons. The average age of the responding surgeons was 52 years with an average practice experience of 28 year. Consensus was achieved on 74 (76%) of the 97 aspects of care presented in the questionnaire and is broken down as follows: 12 of 17 items for preoperative management, all 5 items for perioperative management, 11 of 14 items for surgical technique, 9 of 15 items for implant selection, 6 of 8 items for bone grafting, 7 of 10 items for blood conservation, 5 of 7 items for postoperative management, all 17 items for postoperative evaluation, and 2 of 4 items for aftercare.ConclusionsExpert consensus was achieved on 74 aspects of the surgical management of AIS in Japan. In implant selection and aftercare, consensus was obtained in less than 70% of the aspects, revealing differences in AIS management between institutions. These findings on AIS surgery in Japan, informed by expert opinion, will conceivably help spine deformity surgeons determine appropriate surgical management of AIS. |
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